Thank you for your interest in Coastline's Learning 1st Associates to Bachelor's Degree Program. This application is specifically for admission to the Learning 1st Program. It is not the application for admission to Coastline College (CCCApply). If you are seeking admission to the college, please complete the CCCApply application. If you are seeking participation in Coastline's Learning 1st Program, please proceed with completing this application.

CURRENT COASTLINE STUDENTS: If you are a current Coastline student, you do not need to fill out the entire form, only the required fields. Also, please enter 'Coastline' under the 'Post-Secondary Education' section and provide your Coast Student ID where indicated. Thank you.

Penn State World CampusStudents must maintain a 2.0 minimum grade point average to remain eligible in this program.

Troy UniversityStudents must maintain a 2.0 minimum grade point average to remain eligible in this program.

University of Illinois-SpringfieldStudents must maintain a 2.0 minimum grade point average to remain eligible in this program.

University of Massachusetts AmherstStudents who have been admitted to the Conditional Enrollment Program will be assured space in the Online BBA upon completion of their Associate degree provided that they maintain continuous enrollment and meet all requirements, including a 2.7 minimum grade point average, for entry into the major.

Follow these steps in order to successfully submit your application for processing. The form consists of 10 sections; each section should take about 1-3 minutes to complete.

The application will be tailored based on the degree pathway that you choose. It is important the your personal information is accurate. All your personally identifiable information (PII) which includes: email, date of birth and social security number, will be encrypted and protected.

If you have served in the military, you may be eligible to receive college credit for your training. You may need to send a copy of your DD214 or DD295 to the institution of your choice for evaluation of credit.

This information helps our institutions process academic transcripts. If you previously applied to either school in the degree pathway chosen, please use this section to indicate this. Also, you must list all previous college enrollment, whether or not transfer credit is desired. Please list schools chronologically, beginning with current or most recently attended institution. Failure to disclose information may result in the denial of admission or retroactive administrative withdrawal from the college/university without refund or course credits. Official transcripts must be submitted directly from all colleges attended to Coastline. PHOTOCOPIES AND STUDENT PRINTED COPIES ARE NOT ACCEPTABLE. Transcripts sent by students are considered unofficial.

English proficiency information helps our institutions determine if you're ready to take college-level online courses. Miscellaneous information is mainly used for federal and/or state reporting.

The University of Illinois-Springfield requires a minimum 100 word personal statement as to why you feel you are a good candidate for this program. You have the option to type it right in the online application 'Personal Statement' field or in a separate text editing software program and copy it into the field.

Please enter your primary email address below and click the 'Continue' button so we can check to see if you already have an application on file with us. If you do not have one on file, you will be prompted to start the online application process.

Primary Email Address

Degree Pathway

What is your Academic Goal?

Bachelor Degree Seeking

Non-Degree Seeking

Highest Level of Education Completed

Degree Applicable College Units Earned

Bachelors Degree Pathway

Other Degree of Interest

Personal Information

Legal First Name

Legal Middle Name

Legal Last Name

Suffix

Prior Name(s)

Date of Birth [MM/DD/YYY]

Social Security #

I do not have a Social Security Number

I decline to state my Social Security Number

Gender

Student Contact Information

Primary Email Address

Re-enter Primary Email Address

Secondary Email Address

Home/Primary Phone [(###) ###-####]

Work Phone [(###) ###-####]

Work Phone Extension

Cell Phone [(###) ###-####]

Emergency Contact Name

Emergency Contact Phone [(###) ###-####]

Employment Information

Place of Employment Name

Place of Employment City and State

Student Residency Information

Country/Nation

State/Province

Years at Current Residence

Place of Birth

I'm requesting consideration forPublic Act 93-7

Please answer the following questions if requesting consideration under Public Act 93-7:

Did you graduate from an Illinois high school or attain a GED in Illinois?

Yes
No

Will/Have you attended school in Illinois for at least three years?

Yes
No

Did you/Will you live with your parents while you attend(ed) school in Illinois?

Yes
No

Do you intend to apply for permanent residency in the U.S.?

Yes
No

When did your present stay in California begin? (MM/DD/YYYY)

Have you at any time in the past two years (or if you are under 19, your parents):

1) Registered to vote in a state other than California?

Yes
No

What year? (YYYY)

2) Petitioned for a lawsuit or a divorce as a resident in a state other than California?

Yes
No

What year? (YYYY)

3) Declared residency at a college or university outside of California?

Yes
No

What year? (YYYY)

4) Declared residency in state other than California for state income tax purposes?

Did you receive a H.S. Diploma or do you possess a High School Equivalency Diploma (GED)?

Yes
No

Graduation Date

PLEASE READ:

This information helps our institutions process academic transcripts. If you previously applied to either school in the degree pathway chosen, you should indicate this in this section. All previous college enrollment, whether or not transfer credit is desired should be listed. Failure to disclose information may result in the denial of admission or retroactive administrative withdrawal from the college/university without refund or course credits.

Official transcripts must be submitted directly from all colleges attended to Coastline and the 4 year Institution; transcripts sent by students are considered unofficial. PHOTOCOPIES AND STUDENT PRINTED COPIES WILL NOT BE ACCEPTED.

Please enter your most recent postsecondary information first.

#1 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#2 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#3 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#4 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#5 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#6 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#7 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#8 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#9 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Were you dropped due to academic performance?

Yes
No

Were you expelled/dismissed/suspended for disciplinary reasons?

Yes
No

Dismissed/Suspended Explanation

#10 Postsecondary Education - Add

Name of College/University

Type of School

City

Country/Nation

State/Provice

Student ID

Did you apply or enroll to this college/university?

Applied
Enrolled

Applied/Enrolled Term/Semester

Applied/Enrolled Year

NOTE: If you're not sure of the exact dates, please give your best estimate.

Start Date

End Date

Number of Credits Earned

Type of Credit

Degree Earned

Graduation Date

Are you currently enrolled or do you plan to take future courses at this college/university?

Yes
No

Please provide the course number, title, and
number of credits for any courses you are currently taking, or plan to take before enrolling:

Have you ever pleaded guilty or no contest, participated in a presentencing diversion program and/or been convicted of a criminal offense, or are there criminal charges pending against you at this time?

Do you have criminal charges pending against you or have you been convicted of a felony?

Yes
No

Conviction explanation

Personal Statement

Please briefly explain why you are a good candidate for the Learning 1st program(between 100-500 words required)

Count:

Application Confirmation

Your application is almost complete. Please read the following important information and then check the box at the bottom of the page to confirm your agreement to the terms and conditions in order to complete the online application process.

This information helps our institutions process academic transcripts. If you previously applied to either school in the degree pathway chosen, you should've indicated this on your application in the 'Postsecondary Education' section. All previous college enrollment, whether or not transfer credit is desired should've been listed. Failure to disclose information may result in the denial of admission or retroactive administrative withdrawal from the college/university without refund or course credits. If you did not adequately supply all of this information, or for further assistance, please contact the Learning 1st Program Coordinator.

One official transcript from each prior institution must be submitted to Coastline Community College and a second set of all official transcripts must be sent to the institution that corresponds to the degree pathway chosen (do not send a Coastline Community College transcript in the second set; one will be sent for you). PHOTOCOPIES AND STUDENT PRINTED COPIES ARE NOT ACCEPTABLE. Transcripts sent by students are considered unofficial.

DISCLAIMER: The policy of the institutional partners in the Learning 1st Program is to comply with all federal and state nondiscrimination, equal opportunity, and affirmative action laws, orders, and regulations. We will not discriminate against any person because of race, color, religion, sex, national origin, ancestry, age, marital status, handicap, unfavorable discharge from the military, or status as a disabled veteran or veteran of the Vietnam era. This nondiscrimination policy applies to admission, employment, and access to and treatment in the instituions' programs and activities.

Please print, read and sign the following PDF document that is related to the degree pathway you selected on the applicaton. You can either mail, fax or scan and email the signed document to the address listed below. Please keep a copy for your records.

You have successfully completed and submitted your online application to the Learning 1st Program.

Soon you will receive email confirmation at the primary email address you supplied on the application. If you do not receive confirmation within 1 business day (Monday - Friday, 8AM - 5PM Pacific Time), please email or contact us at: (714) 241-6326 X16323.

When you receive the email, it is important that you read through it entirely and follow the steps listed in order to expedite the application approval process.

Thank you again for your interest in our program and we look forward to helping you attain your educational goal!

Save/Exit Application

You chose to exit the online application before it was complete. If you DO NOT want to save the information you've already entered, click the 'Exit' button, otherwise click the 'Save & Exit' button which will allow you to access and complete your application at a later time.

NEW USERS: If you choose to save your information, a user name and password will be emailed to
the primary email address you provided on the application. After you receive the email, click the 'Activate' link and follow the directions to access and complete the application process at your convenience.

EXISTING USERS: Your application is not complete, but any changes and/or updates you made will be saved. Use your same login information to access and complete the application process at your convenience.

Updated Application

Your completed application has been updated. Thank you.

Duplicate Email Address

We found an application on file with this same email address: .

Please contact our Program Coordinator if you need to make updates to your application: